Which of the following ways can a nurse prevent falls in the hospital? Select all that apply.

Orienting the patient to the room upon arrival, Locking a wheelchair in place when transporting a patient

Which of the following is a "never event"?

A nurse administers an IV medication as IM

A Spanish speaking patient arrives to the ED with an English speaking family member. What should the nurse do?

Call and wait for a Spanish interpreter

What can a nurse delegate to the Unlicensed Assistive Personnel (UAP)?

Bathing a patient and documenting it

Which of the following is not an appropriate intervention to prevent falls?

Placing a scatter rug on hardwood to prevent slipping

What is included in a patient's rights?

The right to receive an adequate pain assessment by an RN

What is true regarding restraints? Select all that apply.

Side rails can become a form of restraint, Restraints should be assessed frequently

A patient with orthostatic hypotension begins to fall while getting his BP measured. What is the nurse's priority?

Help the patient safetly to a sitting position

Which of the following statements by a nurse is an example of empathy?

"I understand that this is frustrating to you"

A patient who is fasting has Type 2 Diabetes and requires insulin. How should the nurse handle this?

Create a plan of care with the provider

What is a sign that a patient may have insomnia?

"Since I was 20 I haven't been able to sleep- now at 40 I still can't!"

Which of the following is an alternative therapy?

A patient using Chamomile and refusing Xanax for anxiety

A child has eaten a piece of a hot dog and starts coughing. What is the next appropriate step by the nurse?

Encourage the patient to keep coughing

What does RICE stand for when educating about an ankle sprain?

Rest, Ice, Compression, Elevation

studbud

Week 2 Review

30 termsStudBud Administration129 plays

Imported from external platform

Flashcards30 cardsFPractice quizPHost liveL

Questions 30

Answers

1
Which of the following ways can a nurse prevent falls in the hospital? Select all that apply.
Ensuring the patient doesnt drink water before bed so they dont get up
Orienting the patient to the room upon arrival
Turning on the bathroom light so the patient knows where to go at night
Locking a wheelchair in place when transporting a patient
2
Which of the following is not the correct way to prevent SIDS in an infant?
Sleeping in the prone position
Providing a pacifier when sleeping
Avoiding overheating
Immunizing the infant
3
What do hoyer lifts prevent for nurses?
Equipment related accidents
Violence
Biological hazards
Back injuries
4
How long does it take for oral pain medications to start working?
More than 2 hours
1 to 1.5 hours
30 to 60 minutes
10 to 20 minutes
5
Which of the following is a "never event"?
A CNA is late to give a bed bath to a patient
A nurse administers an IV medication as IM
A nurse forgets to chart that the patient has used the incentive spirometer
A nurse charts her documentation at the end of the shift instead of during
6
A Spanish speaking patient arrives to the ED with an English speaking family member. What should the nurse do?
Call and wait for a Spanish interpreter
Call the charge nurse
Receive information from the family since it is quicker and more efficient
Visually educate the patient with easy charts and pictures
7
Chronic pain can cause a patient to have which of the following? Select all that apply.
Anxiety/Fear
Acute Pain Syndrome
Self-actualization
Depression
8
The patient states "I don't know what to do with my crazy life anymore." How should the nurse respond?
Respond by telling the patient their life isn't crazy
Pay attention, but stay silent
Tell the patient that everything will be okay
Call psych to evaluate the patient
9
Which of the following helps increase sleep?
Frequent travelling
Eating a large meal before bed
Increased workloads
A regular nighttime routine
10
What can a nurse delegate to the Unlicensed Assistive Personnel (UAP)?
Assessing the patient's skin while bathing them
Measuring urine output after the RN gives a diuretic
Bathing a patient and documenting it
Filing a patient's toenails
11
Which of the following is not an appropriate intervention to prevent falls?
Putting nightlights on in the patient's room
Placing a scatter rug on hardwood to prevent slipping
Having the patient hold on to a grab bar/rail while walking
Ensuring the patient receives proper sleep
12
What is included in a patient's rights?
The right to be pain free throughout their time in the hospital
The right to only receive care that the physician recommends
The right to receive an adequate pain assessment by an RN
The right to have unlimited pain medication
13
Which vital sign is the biggest priority?
HR 58
BP 190/110
Temperature of 101F
Pulse Ox 95%
14
Which of the following vital signs indicates a patient is in pain?
BP 170/90
Respiratory rate of 10
HR 60
O2 sat 96%
15
A mormon patient may refuse which of the following items on a food tray?
Tea
Milk
Chicken
Pork
16
A fire has erupted in a patient's room. After removing the patient from the room, what is the next appropriate step?
Extinguish the fire
Contain the fire
Pull the fire alarm
Get the charge nurse
17
What is true regarding restraints? Select all that apply.
Restraints should be attached securely to the side rail
A nurse should be able to fit their finger under it so it isnt too tight
Side rails can become a form of restraint
Restraints should be assessed frequently
18
What does idiopathic mean?
Caused from excessive activity/overuse
No known cause
Caused from inactivity
Caused from a patient's medical history
19
A patient with orthostatic hypotension begins to fall while getting his BP measured. What is the nurse's priority?
Initiate a code
Help the patient safetly to a sitting position
Call the charge nurse
Continue the BP reading for an accurate measurement
20
A patient states that he doesnt need a measles vaccine since he will never be near measles. What is this an example of?
Folk medicine
Health belief system
Social organization of culture
Environmental control
21
Which of the following statements by a nurse is an example of empathy?
"I would be upset if I were you"
"You will need surgery because the cancer will likely spread without it"
"I understand that this is frustrating to you"
"How often are you feeling this pain?"
22
A patient who is fasting has Type 2 Diabetes and requires insulin. How should the nurse handle this?
Educate the patient and inform them that they cannot fast when diabetic
Create a plan of care with the provider
Have the patient take insulin the night before fasting instead
Educate the patient about the importance of eating for diabetes management
23
What is a sign that a patient may have insomnia?
"My daughter woke me up last night and I was not able to go back to sleep"
"I do not sleep well if I drink caffiene after 7PM"
"Since I was 20 I haven't been able to sleep- now at 40 I still can't!"
"I haven't slept well for the past two days since switching to nights"
24
A Jehovah's Witness arrives to the ED with an infected wound. What is the nurse's priority intervention?
Educate the patient about proper care of the wound to prevent infection
Assess the wound
Discuss the patient's beliefs regarding wounds
Advise the patient should have come sooner
25
Which of the following does bathing help promote?
Decreased comfort
Circulation
Reduced blood flow
Delayed wound healing
26
What is the first area to clean on a patient during a bed bath?
The face
The peritoneal area
The hands
The feet
27
Which of the following is an alternative therapy?
A patient using Chamomile and refusing Xanax for anxiety
A patient seeing a massage therapist while they see physical therapy
A patient using Elderberry supplements with their Amoxicillin regimin
A patient "cupping" while on antibiotics
28
A child has eaten a piece of a hot dog and starts coughing. What is the next appropriate step by the nurse?
Perform the Heimlich
Give the child a sip of water
Turn the child on their side and perform a mouth sweep
Encourage the patient to keep coughing
29
What does RICE stand for when educating about an ankle sprain?
Rest, Ice, Compression, Elevation
Rest, Ice, Compression, Exercise
Rest, Immobilizing, Compression, Exercise
Rest, Immobilizing, Compression, Elevation
30
A nurse states that every Asian patient will be quiet and reserved due to their culture. What is this an example of?
Stereotype
Exploring issues
Process recording
Health belief system

Week 2 Review Flashcards | StudBud